Wilson, Shirley Crawford

Wilson, Shirley Crawford is an individual health care provider with primary practice located at 5105 Benning Rd , Jacksonville FL 32254-3610. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Wilson, Shirley Crawford can be contacted via phone (904) 487-3949.

Contact Information

Primary practice address
5105 Benning Rd Jacksonville FL 32254-3610
Phone: (904) 487-3949
Fax: (904) 580-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 238327 Florida

Profile Details

NPI number 1093912404
LBN Legal business name Wilson, Shirley Crawford
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Apr 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093912404 NPPES
Florida MEDICAID 024749500

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